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Organization

LAWNDALE CHRISTIAN HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN RENEE JOHNSON (ASST DIR OF PATIENT ACCOUNTING)
(872) 588-3000
Entity
Organization

Contact information

Practice address
3219 W CARROLL AVE, CHICAGO, IL 60624-2031
(872) 588-3000
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC0700X
Clinical Psychologist
122300000X
Dentist
133N00000X
Nutritionist
152W00000X
Optometrist
164W00000X
Licensed Practical Nurse
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
09/15/2014
Last updated
07/01/2021
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